<div class="tab-header">
    <div class="title">
        <i class="fa fa-bars"></i><span>伤亡估计管理</span>
    </div>
    <div class="tool">
        <button id="saveBtn" class="btn btn-default"><i class="fa fa-save"></i> 保存</button>
    </div>
</div>
<div class="single-panel">
    <form id="fxCasulatyEstimateForm" class="form-horizontal">
        <div class="row">
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="province"><span class="requird">*</span>省</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="province" name="province">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="city"><span class="requird">*</span>市</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="city" name="city">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="area"><span class="requird">*</span>区</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="area" name="area">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="casulaty"><span class="requird">*</span>人员伤亡</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="casulaty" name="casulaty"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="period"><span class="requird">*</span>时间段</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="period" name="period"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="intensity"><span class="requird">*</span>烈度</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="intensity" name="intensity"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="damageDegree"><span class="requird">*</span>破坏程度</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="damageDegree" name="damageDegree"></select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="calculatedValue">计算值</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="calculatedValue" name="calculatedValue"/>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="calculatedValue">伤亡区间</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="casualtyRange" name="casualtyRange"/>
                    </div>
                </div>
            </div>

            <input type="hidden" id="updateTime" name="updateTime"/>
            <input type="hidden" id="partitionFlag" name="partitionFlag"/>
            <input type="hidden" id="createUser" name="createUser"/>
            <input type="hidden" id="expect" name="expect"/>
            <input type="hidden" id="id" name="id"/>
            <input type="hidden" id="probability" name="probability"/>
            <input type="hidden" id="fixedValue" name="fixedValue"/>
            <input type="hidden" id="isValid" name="isValid"/>
            <input type="hidden" id="updateUser" name="updateUser"/>
            <input type="hidden" id="objectCode" name="objectCode"/>
            <input type="hidden" id="createTime" name="createTime"/>
            <input type="hidden" id="casualties" name="casualties"/>
            <input type="hidden" id="geoPoint" name="geoPoint"/>
        </div>
    </form>
</div>
